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- ...to Expect (Job Responsibilities): - Conduct research, analysis, and modeling of complex healthcare claims, pharmacy, lab, and Risk Adjustment submissions data - Develop and present reports on Risk Adjustment intervention performance and make data-driven recommendations...RiskRemote jobImmediate start
$25 - $27 per hour
...Job Description Job Title: Junior Quality Improvement Coder Target Compensation Range: $25.00 - $27.00/hour, depending on... ...providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor. Conduct internal reviews of documentation and...RiskAstiva Health, Inc
Orange, CA17 days ago$78.5k - $163.6k
...Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department measurements used in both internal and external reporting. You will: Ensure data quality and accuracy...RiskPart timeUniversity of California - Los Angeles Health
Los Angeles, CA6 days ago- ...documentation does not support continued stay. Assesses readmission risk based on established Hospital criteria. Planning:... ...interdisciplinary team throughout the patient's stay to re-assess and adjust the plan for care progression and transition according to the...RiskFull time
Martin Luther King, Jr. Community Hospital
Lakewood, CA2 days ago $75k - $85k
...Description Description We are currently seeking a highly motivated Risk Adjustment Coding Specialist II. This role will report to a Sr. Manager -... ...informal discussion and overread assignments. Supports coder training and orientation as requested by manager. May...RiskWork at officeMonday to Friday$193k - $242k
...Role Overview As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the strategy, roadmap, and execution... ...Background in working with provider documentation teams, coders, or concurrent review vendors. Clinical experience or deep...Risk- ...Guarantee all codes, laws, ordinances, policies, procedures, risk management, safety precautions, rules, regulations and emergency... ...operate a motor vehicle in the United States. Remain Flexible and adjust to situations as they occur. Excellent communication and...RiskContract workPart timeFor contractorsWork at officeLocal areaImmediate startFlexible hoursNight shift
ASM Global
Long Beach, CA19 hours ago $40.04 - $52.83 per hour
...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly #J-18808-Ljbffr UCLA Outpatient...RiskHourly pay- Overview Your Role The Risk Adjustment Retrospective Analytics team focuses on delivering complete and accurate analytics for chart review targeting, financial impact calculations, and data submission. The Actuarial Analyst, Consultant, will report to the Manager of Risk...Risk
- Overview Your Role The Risk Adjustment team is hiring a Manager of Risk Adjustment Retrospective Analytics. The Manager, Actuary will report to the Vice President of Risk Adjustment. In this role you will have end-to-end oversight of the Medicare Chart, ACA Chart, and RADV...Risk
$83k - $88k
...supports enforcement of Environmental Health & Safety policies and risk management on construction projects in Southern California.... ...vision, peripheral vision, depth perception, and the ability to adjust focus. The employee is regularly required to be mobile, and the...RiskPermanent employmentFull timeContract workTemporary workFor contractorsFor subcontractorWork at officeLocal areaImmediate startRemote workLong distanceFlexible hoursTurner construction
Los Angeles, CA2 days ago- ...Risk Manager Job Duties: Leads the identification, communication, measurement, and management of company-wide risk. Manages insurance... ...participates in negotiations, conferences and mediations with adjusting companies, outside legal counsel, staff, claimants, and other...RiskPart time
TradeJobsWorkForce
Los Angeles, CA18 hours ago $142k - $181.5k
...provide visibility to cross-functional teams. Programmatic Risk Management: Identify and manage program risks (time, requirements... ..., scalable solutions ~ Experience communicating effectively, adjusting approach across stakeholders and teams to navigate both...RiskPart timeRelativity Space
Long Beach, CA18 hours ago$40.04 - $52.83 per hour
...can do all this and more at UCLA Health. As a Health Information Coder for our Medical Group, you will handle a variety of vital... ...charges in EPIC Identifying and reporting any potential compliance risks Salary Range: $40.04 - $52.83 Hourly Qualifications Current Certified...RiskHourly payWork experience placementLocal area$85.5k - $140k
...indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the... ...Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading...RiskFull timeTemporary workPart timeApprenticeshipWork at officeLocal areaRemote workVisa sponsorshipZurich Insurance Company Ltd
Long Beach, CA19 hours ago- ...collaboration. Develop and implement strategic planning initiatives to align with organizational goals. Communicate project status, risks, and issues to stakeholders and senior management. Resolve conflicts and address any challenges that arise during project...RiskOngoing contractLocal areaRemote workRelocation
CyberCoders
Carson, CA11 days ago - ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workPart timeWork experience placement
Davies Public Affairs
Santa Ana, CA18 hours ago $176k - $225.5k
...and provide visibility to cross-functional teams. Programmatic Risk Management : Identify and manage program risks (time,... ...scalable solutions ~ Experience communicating effectively, to adjust approach across stakeholders and teams and to navigate both technical...RiskRelativity Space
Long Beach, CA16 days ago$50.18 - $77.91 per hour
...Job Description Description Risk Management Analyst RN- located at St Joseph Hospital of Orange, located in Orange, CA. Shift available is Full Time Days. St. Joseph Hospital is four-time designated for Magnet status, the highest recognition for nursing excellence...RiskFull timeLocal areaShift workProvidence Health and Services
Long Beach, CA4 days ago$150.5k - $225k
...Construction Risk Dispute Resolution Manager At Jacobs, we're challenging today to reinvent tomorrow by solving the world's most... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...RiskFull timeContract workPart timeJacobs Solutions
Los Angeles, CA18 hours ago- ...Senior Claim Adjuster Imagine being part of a team that's not just shaping the future but actively driving it. At Davies North America... ...vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the...RiskTemporary workWork experience placement
Davies Public Affairs
Santa Ana, CA4 days ago $121.5k - $148.5k
Description Reports directly to the Director, Risk Control Services. The Strategic Risk Control Consultant will apply risk management techniques in the selection, management and retention of clients. The Strategic Risk Control Consultant will focus on evaluating client...RiskWork experience placementRemote workNight shift- ...of new programs and services. Monitor program outcomes and make adjustments as needed to improve effectiveness and patient satisfaction.... ...to make informed decisions that drive organizational success. Risk Management: Experience in identifying, assessing, and mitigating...RiskFull timeContract workLocal areaFlexible hoursWeekend workDay shift
$81.63k - $146.7k
...Property Mid Loss Adjuster The Property Mid Loss Adjuster applies broad knowledge of current company policy, applicable regulatory standards... ..., we have been guided by our purpose to help people reduce risk and overcome unexpected events for more than 60 years. We are...RiskPart timeWork at officeLocal areaMercury General
Los Angeles, CA19 hours ago- ...budgets, forecasts, and cost controls, participating in EAC reviews, risk workshops, and change management, while analyzing variances and... ...to Complete (ETC) amounts as required for PBA (Project Budget Adjustments), change orders, and other financial adjustments. • Manage...RiskContract workWork at office
CMP Services
Los Angeles, CA6 days ago - ...HR/Risk Assistant To support the Risk Management department in the timely and accurate handling of workplace injury claims by maintaining... ...-work plans. Support communication with third-party claims adjusters and internal teams. Ensure all information is handled...RiskPermanent employmentPart timeWork at officeShift workNight shift
Xperience Restaurant Group
Cypress, CA18 hours ago - ...high-net-worth clients, delivering comprehensive wealth strategies that encompass investments, estate planning, tax efficiency, and risk management. This role also involves accessing family office resources, collaborating with internal teams to ensure seamless client service...RiskWork at officeRemote work
$165k - $185k
...escalated employee issues, and ensure that HR policies, procedures and practices align with federal, state, and local laws, minimizing risk and supporting compliant company operations, all in collaboration with Legal and Risk and HR leadership. The Assistant Director will...RiskWork at officeLocal areaRemote workFlexible hoursShift work$112.53k
...laws and regulations, and internal policies. This position leads the development, implementation and maintenance of enterprise-wide risk management functions to assist the credit union to identify, assess and mitigate risk across all operations. Analyzes new and pending...RiskWork at office- ...management and other processes relative to the business. Project management includes estimating, scheduling, costing, planning, and issue/risk management. Knowledge/Skills/Abilities Ability to provide strategic leadership on projects while also managing multiple,...RiskFull timeWork experience placementRemote work
Molina Healthcare
Long Beach, CA1 day ago
